A Study Evaluating the Safety, Tolerability, and Effect on Microvascular Obstruction of Intravenous Temanogrel in Adult Participants Undergoing Percutaneous Coronary Intervention

NCT ID: NCT04848220

Last Updated: 2023-12-12

Study Results

Results available

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Basic Information

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Recruitment Status

TERMINATED

Clinical Phase

PHASE2

Total Enrollment

29 participants

Study Classification

INTERVENTIONAL

Study Start Date

2021-05-20

Study Completion Date

2022-08-31

Brief Summary

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The purpose of this study is to determine whether intravenous temanogrel is a safe and effective treatment for microvascular obstruction (MVO) in adult participants undergoing percutaneous coronary intervention (PCI).

Detailed Description

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This is a Phase 2, multicenter, randomized, double-blind, placebo-controlled study to be conducted in 2 stages (Stage A and Stage B). Stage A is an ascending single-dose placebo-controlled study planned to consist of 2 cohorts. Stage B is a parallel-treatment group study planned to consist of a placebo group and 2 active treatment groups of temanogrel doses selected based on safety and tolerability data in Stage A.

Conditions

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Microvascular Obstruction

Keywords

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Temanogrel Microvascular obstruction APD791 Percutaneous coronary intervention MVO PCI

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Stage A (Dose Cohort 1) and Stage B (Dose Group 1)

Group Type EXPERIMENTAL

Temanogrel

Intervention Type DRUG

Participants will receive a single intravenous dose of temanogrel on Day 1 (Day 1 of PCI procedure)

Stage A (Dose Cohort 2) and Stage B (Dose Group 2)

Group Type EXPERIMENTAL

Temanogrel

Intervention Type DRUG

Participants will receive a single intravenous dose of temanogrel on Day 1 (Day 1 of PCI procedure)

Stage A (Dose Cohort 1 and Dose Cohort 2) and Stage B (Dose Group 1 and Dose Group 2)

Group Type PLACEBO_COMPARATOR

Placebo

Intervention Type DRUG

Participants will receive a single intravenous dose of temanogrel matching placebo on Day 1

Interventions

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Temanogrel

Participants will receive a single intravenous dose of temanogrel on Day 1 (Day 1 of PCI procedure)

Intervention Type DRUG

Placebo

Participants will receive a single intravenous dose of temanogrel matching placebo on Day 1

Intervention Type DRUG

Eligibility Criteria

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Inclusion Criteria

* Stable angina participants suitable for elective PCI, or participants suitable for PCI for diagnosis of non-ST-elevation myocardial infarction or unstable angina (NSTEMI/UA) who are consistently hemodynamically stable until the time of PCI and have a thrombolysis in myocardial infarction (TIMI) Flow Grade 2 or 3 on the diagnostic angiography
* Target lesions for PCI must appear suitable for stenting as confirmed on the diagnostic angiography and must satisfy the study criteria regarding lesion size and vessel diameter/type.
* Females must not be of childbearing potential
* Males with pregnant or non-pregnant female partners of childbearing potential must agree to using a condom during treatment and for 90 days following treatment

Exclusion Criteria

* Planned or anticipated use of rotational atherectomy/ablation or shockwave therapies during the PCI procedure
* Any history of stroke, seizure, intracranial bleeding, or intracranial aneurysm
* Transient ischemic attack within the 6 months prior to Screening
* History of major trauma, major surgery, and/or clinically significant head injury or hemorrhage within the last 6 months of Screening
* Any ST-elevation myocardial infarction (STEMI) within 10 days of Screening or STEMI within the target vessel territory within the last 4 months of Screening
Minimum Eligible Age

30 Years

Maximum Eligible Age

80 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Arena is a wholly owned subsidiary of Pfizer

INDUSTRY

Sponsor Role collaborator

Pfizer

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Pfizer CT.gov Call Center

Role: STUDY_DIRECTOR

Pfizer

Locations

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Tibor Rubin VA Medical Center

Long Beach, California, United States

Site Status

VA Palo Alto - Cardiac Catheterization Laboratory

Palo Alto, California, United States

Site Status

University of Chicago Medical Center

Chicago, Illinois, United States

Site Status

Royal Prince Alfred Hospital

Camperdown, New South Wales, Australia

Site Status

Concord Repatriation General Hospital

Concord, New South Wales, Australia

Site Status

Alfred Health - The Alfred Hospital

Melbourne, Victoria, Australia

Site Status

Royal Perth Hospital

Perth, Western Australia, Australia

Site Status

Radboud University Medical Center

Nijmegen, Gelderland, Netherlands

Site Status

Maasstad Hospital

Rotterdam, South Holland, Netherlands

Site Status

Catharina Ziekenhuis

Eindhoven, , Netherlands

Site Status

Skåne University Hospital

Lund, , Sweden

Site Status

East and North Hertfordshire NHS Trust Lister Hospital

Stevenage, , United Kingdom

Site Status

Countries

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United States Australia Netherlands Sweden United Kingdom

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Related Links

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https://pmiform.com/clinical-trial-info-request?StudyID=APD791-202

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Other Identifiers

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C5071002

Identifier Type: OTHER

Identifier Source: secondary_id

APD791-202

Identifier Type: -

Identifier Source: org_study_id